There are two groups of muscles in the forehead - one that lifts
the brow and one that pulls it down. As muscles get weaker with
age, our eyebrows gradually start to droop, causing excess skin
to collect in the upper eyelids. Sometimes the drooping is due to
inheritance. A heavy drooping brow gives a sleepy and tired look;
this can be reserved by the brow-lift operation, which raises the
eyebrows by cutting the muscles responsible for pulling it down.
This operation is often done together with face-lift, if the cause
of drooping is age.

The complaints from previous clients before this procedure

Tired look. Drooping brow and eyes. Heavy and sagging forehead.

The procedure

There are two ways of doing the operation:

1) Classic method where the surgeon cuts an incision from ear
to ear, brow-lift is done via this cut. This will cut off some
of the nerves giving rise to a numb scalp behind the cut; this
however has no effect on health.

2 ) Endoscopic method (key-hole surgery) where the surgeon makes
3-4 small cuts in the scalp and the operation is done via special
instruments using camera and TV. LSC has the facility to do the
Endoscopic method.

The operation can be done under local anesthesia and general
anesthesia.

Duration of operation
1.5/2 hours

Ideal age
35+ when due to age or 18+ when due to inheritance

Length of stay in hospital
One night

Length of stay in Penang
A minimum of 8 nights after discharge from the Hospital is required.
For most outer signs of surgery to be faded we advise 10 days
stay in Penang after surgery.

Plastic surgeons usually recommend that patients wait until they
are at least 16, and possibly older for boys, before undergoing
Rhinoplasty. This is because the nose may not be fully developed
at a younger age. Carefully consider about surgery .The desire
to change your appearance should based on your own feelings rather
than those of your parents or friends.
Rhinoplasty, or surgery to reshape the nose, is one of the most
common of all plastic surgery procedures. Rhinoplasty can reduce
or increase the size of your nose, change the shape of the tip
or the bridge, narrow the span of the nostrils, or change the
angle between your nose and your upper lip. It may also correct
a birth defect or injury, or help relieve some breathing problems.

Sometimes certain breathing problems related to the internal
nasal structures can be corrected at the same time as nose reshaping
is performed. Your cosmetic surgeon will be able to help you determine
whether these structures should be modified along with reshaping
your nose.

The complaints from previous clients before this procedure

Nose does not fit in face. Badly proportioned nose. Nose is too
big, wide, narrow or small. Nostrils are too wide. People can
see in my nostrils. Glasses don't stay on my nose. Breathing problems.

There are 4 types of surgery to consider:

1)Rhinoplasty

Operation is carried out inside the nose, so there are no external
scars at all. This is done whenever there isn't a problem with
the tip of the nose.

2) External / Open Rhinoplasty

This involves opening the nose via a cut in the columella - the
strip of tissues separating the nostrils. This results in a small
scar, which will fade away. When the nose is to be narrowed or
nostrils made smaller, there will be also tiny scars hidden by
the creases where the nostrils join the cheek.

When a full rhinoplasty is not required, these operations can
be done.

Depending on the shape of the nose, the surgeon may have to take
away tissues or add tissues such as your own ear cartilage or
a silicone material to the nose to achieve the desired effect.
Sometimes the surgeon may need to work on the septum- the tissues,
which separate the two cavities of the nose.

4)Ethnic Rhinoplasty

There are distinctive features of ethnic noses that have created
an entire subspecialty of Ethnic Rhinoplasty. There are specific
planning issues, techniques, implants, and recovery that are unique
to the planning and performance of rhinoplasty in ethnic patients
and patients of color.
Focusing on typical ethnic features such as a low flat top of
the nose, a vague bulbous tip, a plunging or "hooked over"
tip and wide flared nostrils, or a short nose or any combination
of these.

What it does not do

Rhinoplasty will not dramatically transform your look, or give
you a 'designer' nose, based upon your favorite celebrity.

The procedure

You will wake up with the nose plastered or taped, and sometimes
a nose pack is used which will be removed the morning after surgery.
Your eyes will be swollen and bruised, you are advised to sit
up or lie propped up most of the time to reduce swelling, as well
you will be given ice packs.
Any stitches will be removed in 5 days and the plaster will be
removed after about 7 days.

Duration of operation
1-4 hours

Length of stay in hospital
None to 1 night depending on the procedure

Length of stay in Penang
Depending on the type of surgery. With a simple implant the patient
can leave Penang 3 days after surgery. With more complex surgery
such as reduction rhinoplasty a minimum of 8 nights after discharge
from the Hospital is required. For most outer signs of surgery
to be faded we advise 10 / 14 days stay in Penang after surgery.

Aesthetic eyelid surgery is performed on adults of all ages.
Some people have eyelid surgery to correct problems that are a
result of aging, while others have inherited traits that cause
them to seek treatment as early as their 20s or 30s. Eyelid tightening
is popular as it improves the expression of the face.

1)Doubled Eyelid Operation

Double eyelids are created by making cuts on the upper eyelids
and by applying stitches to create the fold; the result raises
the eyelashes giving the eyes a brighter look.

The Procedure

The operation is done under local anesthetic. Skin markings are
done before operation, then a piece of skin is removed; stitches
are applied to create the fold. There will be some tapes applied
to the wound after operation. Stitches will be removed 5 days
after the operation.
Yours eyes will be swollen; there may be some bruises, which will
be settled in a week.

The complaints from previous clients before this procedure

No natural fold on upper eyelids. Difficult to use make up. Impairing
vision. A puffy appearance to the upper eyelids. The eyes look
tired.

This surgery will remove bags from under the eyes and excess
skin from the eyelids.
Double eyelids are created at the same time if desired.

What it does not do

Creases, such as crow's feet, will not be eradicated, though
the lines will be softened.
The operation does not improve cheek bags

The procedure
This operation is usually done under local anesthetic.
For the upper lid, the surgeon will take away a long ellipse of
skin along the crease, bags are removed, double eyelids can be
created, and although this leaves a long scar, is not noticeable.
The same is done for lower eyelid except there will be less skin
taken away.
Following the surgery, you would expect swelling and bruising
around the eyes that would subside within 2 weeks. Stitches are
removed 5 days later; scars are to be protected from sunlight
for several months. Eyes may water a lot and they may feel gritty,
tight, itchy and swollen, but this will subside in a few days.

The complaints from previous clients before this procedure

Look old and tired. Interfere with vision. Drooping upper lid.
Bags under eyes. Skin around eyes lost firmness.

Duration of operation
1- 2 hours

Ideal age
Any age

Length of stay in hospital
None

Length of stay in Penang
From a minimum of 5 days to two weeks depending on procedure.

The lip can be enhanced through many ways.
Too much or too little lip is shown- this can be corrected by
a small operation under local anesthetic where a small wedge of
tissue is removed.
The lip is too thin- we can make it fuller (and sexier) by adding
filler material such as collagen injection, fat injection and
dermal fat graft.

Chin

The chin may be too small or big; this can be improved by performing
a surgery on the chin either to make it bigger or smaller.

1) Chin reduction
This is making the chin smaller by reducing the size of Chin bone.

2) Chin Implant
We may use silicone implant to make it bigger with better definition
to look younger.

3) Liposuction of the Chin - "Double Chin"
A liposuction of the area under the chin, to get rid of a so-called
"double chin". This procedure is rather simple and the
results are often very satisfactory.

Cheek Implant

Adding an implant can make a cheek look higher or stronger hence
a more youthful.

Duration of operation
1- 2 hours

Ideal age
From 18 years old

Length of stay in hospital
None

Length of stay in Penang
From a minimum of 2 days to one week depending on procedure.

Ear surgery, or Otoplasty, is usually done to set prominent ears
back closer to the head or to reduce the size of larger ears.

The procedure

This operation is done under general anesthesia for children;
bigger children or adults can be done under local anesthetic.
A piece of skin is removed from the back of the ears and the cartilage
is softened to allow it to fold back. Your ears will be bandaged
and this will be taken out 7 to10 days later, meanwhile, your
ears may feel sore or numb. After the bandages are removed, your
ears will look swollen and red or bruise, this will settle in
2 weeks. They should be kept flat at night with a headband.

A hair transplant is an operation, which takes hair from the
back of the head and moves it to the area of hair loss. The fringe
(back and sides) of hair on a balding scalp is known as donor
dominant hair, which is the hair that will continue to grow throughout
the life of most men.

The transplantation of this hair to a bald area does not change
its ability to grow. Donor dominance is the scientific basis for
the success of hair transplantation

Candidates for a hair transplant are those individuals with hair
loss that have sufficient donor hair from the fringe of the scalp
to transplant to the balding area. In the past, many bald patients
were not suitable candidates for a hair transplant, but modern
techniques have advanced the art of hair restoration surgery so
that many more men are candidates.

Serious problems of bleeding, scarring, and infection are rare.
Modern hair transplantation surgery is comfortable, predictable,
and the results are pleasing to most patients.

You're a good candidate for hair replacement if you have any
of the following:

- You've lost hair due to an inherited trait
- You've lost hair due to trauma or burns
- You have healthy hair growth at the back and/or side of your
head

The complaints from previous clients before this procedureBalding. Hair loss. Receding hairline.

A facelift restores smoother, more pleasing contours to your
face and neck. It can help you look as good as you feel, and perhaps
feel younger than you are.

There are few types of face -lift operations, the older technique
of lifting the skin only as practice by older generation of plastic
surgeons gives an unnatural tight look, however newer techniques
give much more dramatic improvement, at the same time looking
natural. Three of the more modern techniques used are:

1) SMAS Lift
The SMAS layer lies just deep to the skin; it is strong layer
of tissues allowing tension to be applied on, so that when it
is tightened, the overlying skin is tightened at the same time.
This operation involves cutting out the SMAS layer and pulling
it up with stitches. This operation gives patient a tighter and
smoother face hence a younger look, it also improves the appearance
of a turkey gobble neck but has a little effect on nose-to-mouth
grooves

2) The Extended SMAS Lift (Or Deep Plane)
This operation involves dissecting the SMAS layer right towards
the nose, freeing it away from the cheek ligaments and then pulling
it up to improve the look of the middle of the face, perking up
sagging cheeks, flattening nose-to-mouth grooves and reducing
jowls, as well as tightening the neck. This operation may produce
less swelling than limited SMAS; fewer scars and recovery can
be very quick.

3) Endoscopic Forehead And Face-Lift

This is the latest in face-lift surgery. With this method, the
keyhole surgery technique is used. A special camera, TV monitors
and instruments are used to perform the operation. Three small
cuts are made in the scalp above the forehead, special instrument
are used to lift the forehead with the help of the small camera
and TV monitor, in the process, wrinkles and frown lines in the
forehead are removed. Small cuts are also made just above the
ear in the temple and behind the ear lobe; again special instruments
and camera are introduced to perform the face-lift and neck-lift.
With time, all this small scars will fade to almost invisible.
Complication associated with the Endoscopic face-lift is less
and the patients can heal faster without the signs of having a
face-lift done.

The procedure

The surgery can be comfortably done under general or under local
anesthetic.
After surgery, you would have bandages and drains, which will
be removed the next day.
Stitches are removed 5 to 12 days later. Your face will feel bruised,
swollen, tight, numb, and stiff for at least 10 days, you may
feel depressed and miserable because you will look awful initially,
although this will slowly subside by the day, you will begin to
appreciate what a change you have.
Sitting up or propping up helps to reduce swelling, and a cold
compress applied often speeds up healing process. You can wash
your hair a few days after surgery. Make-up can be applied after
the stitches are taken out on the 5th day. Most people will be
able to face the world 2 weeks after surgery, back to work 3 weeks
after surgery. During the first three months, you are advised
to avoid sport, any other strenuous activity or prolonged exposure
to the sun. It is important to keep the skin well moisturized.

The complaints from previous clients before this procedure

Sagging skin. Look too old for the age I feel. Lost my self-confidence.
Face lost its freshness.

Duration of operation
4 to 5 hours

Ideal age
40-60

Length of stay in hospital
1 night minimum, two to three nights maximum

Holiday required
2-3 weeks

Length of time results last
Around 8-12 years, though effects are semi-permanent

This procedure, when applied to the whole face, is always done
under general anesthetic, as the surgeon needs you to lie very
still. Laser resurfacing is a process where the upper layers of
aged or damaged skin are vaporized by applying a controlled laser
beam. The resulting healing and restructuring of the skin is to
reduce the appearance of wrinkles.

Laser pulses target the surface layer of the skin, vaporizing
water and the skin's surface without affecting deeper layers.
A new surface layer will then grow back - a layer that is soft,
wrinkle-free, and younger looking. The heat generated during the
process also shortens the collagen fibers in the skin, which restores
some of its elasticity

With aging, deep folds and wrinkles develop and make the chin,
jaw line and neck less well defined; double chin and turkey gobble
neck appearance makes a person look old. This procedure reverses
the aging process by reposition the sagging muscles and fat pads;
some of the fat is removed and the excess skin is removed by a
clever cut which is not obviously visible. Liposuction is often
needed to remove the double chin.

The procedure

This procedure is often done together with a face-lift; hence
what has been described for face-lift applies. General or local
anesthetic may be used, however, if only liposuction is done to
remove the double chins and neck, only local anesthetic is required.
There will be swelling and bruises, which will subside in about
10 days.

A full facial rejuvenation does not stop the ageing process but
certainly gives an up to 10 year younger look without giving that
sometimes "artificial" look. The results for this procedure
are very satisfactory. This is the most popular facial procedure
for woman between 45 and 55 in the USA and Europe.

The procedure

This procedure is always done under general anesthetic. It includes
a full brow / forehead / face and neck lift together with tightening
of the upper and lower eyelids or eye bag removal. Also Erbium
YAG laser resurfacing of the skin around the mouth as this area
can hardly be tightened. When required we use a filler to insert
in those areas of the face that needs adjustment because of extreme
gravities.

The complaints from previous clients before this procedure

Sagging skin in face and neck. Look too old for the age I feel.
Lost my self-confidence. Deep lines from nose to mouth. Face lost
its freshness." Chicken/turkey neck". Look old and tired.
Eyes interfere with vision. Drooping upper lid. Bags under my
eyes. Skin of face looks dull. Skin around eyes lost firmness.
Sagging skin. Loss of jaw line. No definition in lower face. Old
look. Excess fat in lower face.

Duration of operation
4 to 6 hours

Ideal age
40-60

Length of stay in hospital
2 nights stay are required

Holiday required
2 weeks is sufficient, ideal is 3 weeks for all outer signs to
fade to a maximum.

Gynecomastia is a medical term that comes from the Greek words
for "women-like breasts." Though this oddly named condition
is rarely talked about, it's actually quite common. Gynecomastia
affects an estimated 40 to 60 percent of men. It may affect only
one breast or both.

The procedure

The procedure removes fat and or glandular tissue from the breasts,
and in extreme cases removes excess skin, resulting in a chest
that is flatter, firmer, and better contoured. The operation can
be done under general or under local anesthesia.

A thigh lift is done to remove excess skin from the thigh and
buttock area giving a slimmer thigh.. This excess skin is usually
caused by weight loss. A thigh lift can be combined with other
treatments. A thigh lift does not slim down someone who simply
has a large or fat thigh.

The procedure

Inner thigh lifts involve incisions made over the inner thigh,
hidden in the groin crease. Outer thigh and buttock lifts involve
incisions extending from the groin around the back. Sometimes
a vertical scar in the inner thigh is necessary. These scars are
concealed under a bikini line and all of these scars fade with
time. This procedure is done under local or under general anesthesia.

The complaints from previous clients before this procedure

Excess skin on inner thighs. Hanging and sagging skin on thighs.
Problem with wrinkles, folds, cellulite and excess fat, especially
in the inner thighs, but anterior and outer thighs and knees.

A body lift is done to remove excess skin from the thigh, legs
and buttock area giving a slimmer lower body. This excess skin
is usually caused by weight loss. A body lift involves liposuction
to get rid of excess fat..

The procedure

The incision is very thin and is located entirely around the
waistline like a belt. The procedure involves liposuction of any
excess fat in the thighs and legs, then removing excess skin high
up on the outer thighs and above the buttocks, loosening the tissues
below this and pulling them up and sewing the edges together.
Deep stitches are secured to the ligaments and bone so there is
less of a tendency for the skin to fall down. The length of the
incision depends on the amount of excess skin. It is not unusual
to remove 5-10 inches in length. These scars are concealed under
high waist trousers or skirts and all of these scars fade with
time. This procedure is done under local or under general anesthesia.

Liposculpture is particularly well suited for women and men who
are of relatively normal weight but have isolated pockets of fat
that cause certain areas of their body to appear disproportionate.
These localized fat deposits may sometimes be inherited and typically
do not respond to dieting or exercise. Liposuction is often the
only way to eliminate them.

While it is possible to undergo liposuction at almost any age,
you will obtain the best results if your skin still has enough
elasticity to achieve a smooth contour following fat removal.
When skin is inelastic, as in some older patients, it may not
restore well and a skin tightening procedure may be necessary.

What it does do

Liposculpture flattens specific parts of the body

What it does not do

Liposculpture should not be considered as the only means of reducing
weight (although it can) or as a total cure for cellulite.

Skin markings are made before the procedure. Depending on the
areas involved, you will have either a local or general anesthetic.
The surgeon uses a cannula to suction fat using a cannula via
one or more stab incisions. You will have bandages, a garment
or specialized sticky tapes applied to reduce bruising. You should
expect swelling, bruising and some discomfort initially.

Duration of operation
45 minutes to 3 hrs. Depending on amount of fat removed and area
treated

Ideal age
Under 55 with good skin tone

Length of stay in hospital
1-3 days depending on amount of fat removed

Holiday Required
1-3 weeks depending on amount removed

Length of time result last
Permanent, provided no weight is gained

Anesthesia
GA is preferred and recommended, although it is possible to receive
a LA with sedation.

Caution

As Liposculpture can be performed at different zones around the
body, different zones require varying amounts of work and subsequently
we require you to be a specific as possible when making an application
to Beautiful Holidays for Liposculpture. At your intake consultation
with your surgeon when you arrive in Malaysia there may be some
changes made to your initial requests. Beautiful Holidays will
provide you with a new quotation that matches the surgeon's final
recommendations.

How much you currently weigh and whether you plan to lose or
gain weight in the future will be factors in evaluating you for
liposuction. Your cosmetic surgeon may ask you about the effects
of prior weight loss on the appearance of those areas which you
have indicated for contouring. He will assess the elasticity of
your skin and estimate the amount of fat to be removed for optimal
results. Once you and your surgeon have reached a conclusion we
continue with your scheduled surgery.